Discharge outcomes as predictors of social participation in the community after a stroke: a cohort study.

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-08-03 DOI:10.1097/MRR.0000000000000599
Flaviane Ribeiro de Souza, Matheus Sales, Larrie Rabelo Laporte, Ailton Melo, Nildo Manoel da Silva Ribeiro
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Abstract

The mapping of possible predictors of restrictions in the social participation of people after stroke in the community can be an essential tool to support the development of rehabilitation strategies even in the hospital environment. This study aimed to identify whether mobility, functional balance and dependence on functionality at hospital discharge can predict restrictions on social participation 1 year after stroke in the community. This is a hospital-based cohort study, with individuals over 18 years old admitted with a diagnosis of acute stroke included. People with dementia, previous functional limitations and cancer patients were omitted. Mobility, balance and functional independence were the predictor variables at hospital discharge, and the outcome of interest was social participation assessed 1 year after a stroke in the community. Forty-eight patients were included after a 1-year follow-up. The degree of functional independence at hospital discharge ( β  = 0.813; P  < 0.01) was the independent predictor of social participation, specifically the locomotion ( β  = 0.452; P  < 0.001) and social cognition ( β  = 0.462; P  < 0.001) related to functional independence. Mobility ( β  = 0.040; P  = 0.777) and functional balance ( β  = 0.060; P  = 0.652) did not show an independent association. Cognitive functional independence was a predictor of daily activities ( β  = 0.786; P  < 0.001), social roles ( β  = 0.390; P  = 0.014) and satisfaction ( β  = 0.564; P  < 0.001) of social participation. The degree of functional independence of people after a stroke at hospital discharge was able to predict the level of social involvement in the community one year after the stroke.

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出院结果作为卒中后社区社会参与的预测因素:一项队列研究。
绘制中风患者在社区中社会参与限制的可能预测因素,即使在医院环境中,也可以成为支持康复策略制定的重要工具。这项研究旨在确定出院时的行动能力、功能平衡和对功能的依赖是否可以预测社会参与的限制1 社区中风后一年。这是一项基于医院的队列研究,研究对象为18岁以上的人 岁,诊断为急性中风。痴呆症患者、既往功能受限患者和癌症患者被忽略。流动性、平衡性和功能独立性是出院时的预测变量,感兴趣的结果是社会参与评估1 社区中风一年后。48名患者在一年的随访后被纳入。出院时的功能独立程度(β = 0.813;P
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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